title: Efficacy of a two-session program of cognitive restructuring and imagery modification to reduce the feeling of being contaminated in adult survivors of childhood sexual abuse: a pilot study.
abstract: OBJECTIVE
  Cognitive restructuring and imagery modification (CRIM) to reduce the feeling of being contaminated (FBC) was tailored to adult survivors of childhood sexual abuse (CSA) suffering from this distressing feeling. A cognitive model of maladaptive appraisal and two factor learning theory can explain the development and maintenance of the FBC. CRIM combines cognitive interventions with imagery modification in a two-session treatment.
  
  
  METHODS
  To evaluate CRIMs feasibility and efficacy, we consecutively treated 9 women suffering from chronic CSA-related posttraumatic stress disorder (PTSD) plus the FBC. Ratings regarding intensity, vividness, and uncontrollability of this feeling, and related distress as well as the Posttraumatic Diagnostic Scale (PDS) were administered prior to (t0), post (t1), and six weeks after (t2) treatment.
  
  
  RESULTS
  When comparing t0 and t2 Cohen's d was large for intensity of the FBC (d = 2.23; p < .01), its vividness (d = 1.83; p < .01), uncontrollability (d = 2.79; p < .01), and the related distress (d = 2.45; p < .01), as well as for PDS scores (d = .99; p < .05).
  
  
  CONCLUSIONS
  Results are limited by the lack of a control group.
  
  
  CONCLUSIONS
  Data suggest that CRIM has the potential to reduce the FBC as well as PTSD symptoms after CSA.
authors.affiliation: Department of Clinical Psychology and Psychotherapy, Institute of Psychology, Goethe University Frankfurt, Postbox 11 19 32-120, D-60054 Frankfurt Main, Germany. steil@psych.uni-frankfurt.de
authors.forename: Regina
authors.initials: R
authors.lastname: Steil
authors.forename: Kerstin
authors.initials: K
authors.lastname: Jung
authors.forename: Ulrich
authors.initials: U
authors.lastname: Stangier
mesh_terms: D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004644:Emotions; D005260:Female; D006801:Humans; D019018:Imagery, Psychotherapy / Q000379:methods*; D008875:Middle Aged; D008960:Models, Psychological; D010349:Patient Compliance; D010865:Pilot Projects; D011614:Psychotherapy, Brief / Q000379:methods*; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D013315:Stress, Psychological / Q000628:therapy*